Depending on the cause, symptoms of deficiency without tonic may manifest as symptoms of dampness-heat congestion in the middle jiao; or symptoms of liver-wood offense to the stomach; or symptoms of spleen-qi and stomach-yang deficiency. In severe cases, there may be symptoms of fire, such as sores on the mouth and tongue. When Damp-Heat congests the middle Jiao, causing the Spleen and Stomach to rise and fall out of balance and the deficiency is not replenished, the symptoms are plagued in the epigastrium (abdomen), dullness (lack of appetite, decreased food intake), generalized malaise, limb heaviness (weakness and heaviness of the limbs), and loose stools and discharges. Liver qi is rebellious, insulting the spleen and offending the stomach, resulting in the spleen’s loss of health and transportation, the stomach’s loss of healing and descending (obstruction of the stomach’s function of descending and passing) and the deficiency is not supplemented, manifesting symptoms such as fullness in the chest and ribs, hiccups (burping), belching, vomiting and swallowing of acid (swallowing of acid that rushes upwards from the stomach to the oropharynx), abdominal distension, abdominal pain, diarrhea, or constipation, and other symptoms. Dull and greasy products occlude the spleen qi, bitter and cold agents to injure the stomach yang, resulting in damage to the spleen and stomach and deficiency without tonic, manifested in the stomach and epigastric pain, belching (hiccups), nausea and panqing, epigastric distension and fullness, especially after eating, bowel movement and other symptoms. If the deficiency is not replenished, there will be sores on the mouth and tongue, sore throat and acne on the face. If you have the above symptoms, you should consult a doctor in a timely manner and seek treatment under the guidance of a professional physician, and do not take medication on your own.